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General NPI Number Information
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NPI Number | 1750808192
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Entity Type | Organization
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Legal Business Name | UPPER KEYS CONVENIENT CARE INC
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Dates
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Enumeration Date | 08/26/2017
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 85960 OVERSEAS HWY STE 4
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City | ISLAMORADA
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State | FL
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Zip | 33036-3301
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Country | US
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Telephone | 305-393-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 85960 OVERSEAS HWY STE 4
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City | ISLAMORADA
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State | FL
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Zip | 33036-3301
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Country | US
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Telephone | 305-741-7721
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Fax | 888-219-0456
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Authorized Official
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Title or Position | OWNER
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Name | ROSE ELIZABETH HEWSON-HUSSEY
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Credential | ARNP
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Telephone | 305-393-1101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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